Mary Gina Connor, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Erlanger, KY
NPI 1992729610 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992729610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1557 (KY)
- Practice address
- 495 Erlanger Rd
Suite 204
Erlanger, KY 41018-1468 - Phone
- (859) 342-6444
- Fax
- (859) 342-0999
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1557 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Pathways PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1557 | KY | Yes |
Addresses
Primary practice location
495 Erlanger Rd
Suite 204
Erlanger, KY 41018-1468
Mailing address
495 Erlanger Rd
Suite 204
Erlanger, KY 41018-1468
Phone (859) 342-6444
Other providers in Erlanger, KY
- Joanie Lee Combs
- Commonwealth Family Chiropractic Center PSC
- Concentra Health Services, Inc.
- Connor and Associates
- Ed Connor
- Jessica Faye Cooper
- Staci Jo Couchman
- Creative Therapeutic Connections LLC
- Creative Therapy Solutions PLLC
- Critical Stress & Wellness Center, LLC
All providers in Erlanger, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.